Active NPI
Alexander Vladimirovich Tereshchenko, MD, PHD
- Psychiatry Physician
- Sioux Falls, SD
National Provider Identifier
1477108793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15507
- Practice address
- 5024 S Bur Oak PL Ste 206
Sioux Falls, SD 57108-2238 - Phone
- (605) 743-0740
- NPI assigned
- Aug 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15507 | SD | Primary |
Addresses
Primary practice location
5024 S Bur Oak PL Ste 206
Sioux Falls, SD 57108-2238
Mailing address
5024 S Bur Oak PL Ste 206
Sioux Falls, SD 57108-2238
Phone (605) 743-0740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 15, 2026 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15507 | SD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1477108793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 S BUR OAK PL STE 206",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082238",
"telephone_number": "605-743-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 S BUR OAK PL STE 206",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082238",
"telephone_number": "605-743-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERESHCHENKO",
"first_name": "ALEXANDER",
"middle_name": "VLADIMIROVICH",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-04",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "15507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.